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The prevalence of the technocratic model in obstetric care from the perspective of health professionals

Authors :
Marli Therezinha Stein Backes
Karini Manhães de Carvalho
Larissa Nascimento Ribeiro
Tamiris Scoz Amorim
Evanguelia Kotzias Atherino dos Santos
Dirce Stein Backes
Source :
Revista Brasileira de Enfermagem, Vol 74, Iss suppl 4 (2021)
Publication Year :
2021
Publisher :
Associação Brasileira de Enfermagem, 2021.

Abstract

ABSTRACT Objectives: to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals. Methods: Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration. Results: the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff. Final Considerations: obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

Details

Language :
English, Spanish; Castilian, Portuguese
ISSN :
19840446 and 00347167
Volume :
74
Issue :
suppl 4
Database :
Directory of Open Access Journals
Journal :
Revista Brasileira de Enfermagem
Publication Type :
Academic Journal
Accession number :
edsdoj.3e33ce81e8e34c9eb545f402145fda3a
Document Type :
article
Full Text :
https://doi.org/10.1590/0034-7167-2020-0689